Evidence map›Paper›PMID 40375107›Full record

ArticleBMC public health2025

Transitioning to adult care in youth-onset diabetes: a scoping review of socio-ecological factors in youth-onset type 2 diabetes compared to type 1 diabetes.

Assumpta O Ude, Sydney A Dixon, Sophia B Glaros, Sue-Ann Arboine, Nancy L Terry, Tomás Cabeza De Baca, Stephanie T Chung

Abstract readScoping ReviewComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Assumpta O Ude *Clinical Center Nursing Department, National Institutes of Health, Bethesda, MD, USA.
Sydney A Dixon *Section on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, 10 Center Drive, BLD-10 CRC, RM 5-5942, Bethesda, MD, 20814, USA.
Sophia B GlarosSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, 10 Center Drive, BLD-10 CRC, RM 5-5942, Bethesda, MD, 20814, USA.
Sue-Ann ArboineClinical Center Nursing Department, National Institutes of Health, Bethesda, MD, USA.
Nancy L TerryNational Institutes of Health Library, National Institutes of Health, Bethesda, MD, USA.
Tomás Cabeza De BacaObesity and Diabetes Clinical Research Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA.
Stephanie T ChungSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, 10 Center Drive, BLD-10 CRC, RM 5-5942, Bethesda, MD, 20814, USA. stephanie.chung@nih.gov.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple socio-cultural and personal factors influence the transition from pediatric to adult-centered diabetes care in youth-onset type 1 diabetes (Y-T1D), but few data exist in youth-onset type 2 diabetes (Y-T2D). We determined the scope of the literature on socio-ecological factors associated with transitioning to adult care in Y-T2D compared with Y- T1D to identify facilitators, barriers, and knowledge gaps in Y-T2D.

methodWe conducted a global scoping review using the Systematic Reviews and Meta-Analyses for scoping reviews (PRISMA-ScR) guidelines. Eligible articles were peer-reviewed experimental and quasi-experimental articles published between January 1990 and September 2022, with no language restrictions.

resultsIn 104 articles that reported on transitioning to adult care, 88% were in Y-T1D, 6% compared Y-T1D and Y-T2D, 2% reported in Y-T2D only, and 4% reported on youth-onset diabetes diagnosis. The proportion of articles that reported on socio-ecological domains were similar in Y-T1D compared to articles that included Y-T2D. Identified challenges associated with the transitioning period in Y-T2D were societal (structural bias, poverty, inadequate social support), health cultural (limited access to adult health-care providers), psychological (feelings of anxiety and fear of transition), and behavioral (difficulty with medication adherence). The transition period was associated with worsening glycemic control in both groups.

conclusionsY-T2D face multiple challenges across socio-ecological domains during the transition to adult-centered diabetes care. However, only 8% of studies on transitioning factors included Y-T2D and additional research is needed to develop dynamic and robust transition programs in Y-T2D. SCOPING REVIEW REGISTRATION: Protocol was registered with Open Science Framework, April 4, 2022. https://osf.io/k2pwc .

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Transition to Adult CareAdolescentAdultAge of OnsetHumansYoung AdultBarriersFacilitatorsHealth cultural factorsPsychological factorsScoping reviewSocio-ecological factorsTransition careType 1 diabetesYouth-onset type 2 diabetes

Identifiers

PMID40375107
PMCPMC12080029

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.